MIND BODY OT LLC

BEAVER DAM, WI
NPI1972063691
Entity TypeOrganization
Authorized ContactSUSAN M BAUMANN
Owner
920-763-3534
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2019-03-20
Last Update Date2019-03-21
Business Address
MIND BODY OT LLC
201 GATEWAY DR. STE 300
BEAVER DAM, WI 53916-9176
Phone number: 920-763-3534
Mailing Address
MIND BODY OT LLC
W9018 COUNTY RD S
BEAVER DAM, WI 53916-9680
Phone number: 920-763-3534
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